Sugar skulls are a food item obtainable from the Squeal of Fortune and 2014 Halloween event. When consumed, they heal 2,000 life points, emit an eerie, hollow sounding growl, and will have one of a number of effects. Free players may receive sugar skulls, but cannot eat them.

Sugar skulls did not receive an update to their healing power when the Evolution of Combat was released and so still healed 215 points even though relatively speaking this is not as much of a boost as before. This has been fixed on the player-owned ports update.